Patient Safety Curriculum Module 10: The National Landscape ...

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2011 NPSGs• Goal 1: Improve the accuracy of patient identification.• Use at least two patient identifiers when providing care, treatment, and services.• Eliminate transfusion errors related to patient misidentification.• Goal 2: Improve the effectiveness of communication among caregivers.• Report critical results of tests and diagnostic procedures on a timely basis.• Goal 3: Improve the safety of using medications.• Label all medications, medication containers, or other solutions on and off the sterilefield, in perioperative and other procedural settings.• Reduce the likelihood of patient harm associated with use of anticoagulant therapy.• Maintain and communicate accurate patient medication information (effective 7/1/11).• Goal 7: Reduce the risk of healthcare-associated infections.• Implement evidence-based practices to prevent healthcare-associated infections dueto multiple drug-resistant organisms in acute care hospitals.• Implement best practices or evidence-based guidelines to preventcentral line–associated bloodstream infections.• Implement best practices for preventing surgical site infections.• Goal 15: The organization identifies safety risks inherent in its patient population.• Identifying individuals at risk for suicide• Universal Protocol• Conduct a pre-procedure verification process.• Mark the procedure site.• Perform time out.38NPSF Professional Learning Series
Goal 8: Reconcile Medications• Accurately and completely reconcile medications across thecontinuum of care.• The implementation date for the revised medicationreconciliation requirement for NPSG 8 will be July 2011.• NPSG.08.01.01: Comparing Current and Newly OrderedMedications• NPSG.08.02.01: Communicating Medications to the NextProvider• NPSG.08.03.01: Providing a Reconciled Medication List tothe Patient• NPSG.08.04.01: In settings where medications are usedminimally, or prescribed for a short duration, modifiedmedication reconciliation processes are performed.39NPSF Professional Learning Series
Page 1 and 2: NPSF Professional Learning Series p
Page 3 and 4: Goals of this module• Upon comple
Page 5 and 6: “End result system of hospitalsta
Page 7 and 8: Patient Safety in the Popular Press
Page 9 and 10: The Cost Landscape• Per capita he
Page 11 and 12: Mounting Pressures for Transparency
Page 17 and 18: Regulatory Landscape17NPSF Professi
Page 19 and 20: Example of One Year of PotentialReg
Page 21 and 22: The Joint CommissionDPHCMSThe Regul
Page 23 and 24: Potential CMS CoP Findings• Condi
Page 25 and 26: Influences on the Joint CommissionS
Page 27 and 28: Customized Survey Process• Priori
Page 29 and 30: “Tracing” the Patient: Across S
Page 31 and 32: “Tracing” the Patient - Priorit
Page 33 and 34: Sample: Unannounced SurveySchedule
Page 35 and 36: National Patient Safety Goals(NPSGs
Page 37: 2011 Hospital NPSGs• There are si
Page 41 and 42: Managing Regulatory Visits41NPSF Pr
Page 43 and 44: The Regulatory Survey CycleMonitorc
Page 45 and 46: Survey Preparations• Develop a re
Page 47 and 48: Opening Meetings• Getting off on
Page 49 and 50: Command Central (Bull Pen)• Large
Page 51 and 52: Exit Conference• At the exit conf
Page 53 and 54: Attributes of a Well ManagedRegulat
Page 55 and 56: Regulatory ReadinessPreparing for t
Page 57 and 58: Quality and Safety FrameworkQuality
Page 59 and 60: Culture: Communications Plan forSur
Page 61: Final Thoughts• B Teams with A Sy

Patient Safety Curriculum Module 10: The National Landscape ...

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